Anileostomyreversal is a technique that rejoins the two ends of your bowel after an ileostomy.
Its purpose is to restore bowel function so you’ve got the option to remove waste normally.
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What Is Ileostomy Reversal?
Luis Alvarez / Getty Images
When successful, an ileostomy reversal allows you to return to normal elimination of fecal waste through the rectum.
The stoma pouch can be removed.
Ileostomy reversal is performed as an inpatient procedure.
It involves either open surgery or a minimally invasive procedure such as keyholelaparoscopicsurgery.
It can be performed on children and adults.
For one, the surgery is reserved for people who can regain adequate bowel control following the procedure.
However, about 20% of people who undergo ileostomy reversal encounter postoperative complications.
A temporary ileostomy may be used in the management of conditions likediverticulitis,colorectal cancer, andinflammatory bowel disease.
The temporary use of stomas can help reducesepticcomplications from anastomotic leaks and avoid the need for another surgery.
Living With Ileostomy
You must meet certain criteria to qualify for an ileostomy reversal.
While an ileostomy is regarded as major surgery, it does not affect your life expectancy.
How to Prepare
Your surgeon will give you detailed instructions on preparing for your ileostomy reversal.
You may also receive guidelines from the hospital or healthcare facility where your procedure is scheduled.
Discuss your alcohol use and smoking habits, if applicable, with your healthcare provider before surgery.
These habits can affect you during and after surgery.
Limiting your consumption of alcohol andquitting smokingbefore surgery can help you achieve better outcomes.
It requires the use ofgeneral anesthesia.
It takes about an hour to complete.
After meeting with a nurse andanesthesiologistbefore surgery, you will be taken into an operating room.
An anesthesiologist will place anintravenous (IV)line in one of your veins.
Anesthesia will be administered through the IV line to keep you asleep during the procedure.
Recovery
Most people remain in the hospital for two to four days after an ileostomy reversal.
Movement can reduce your risk of pneumonia and blood clots.
It can also promote passing gas and bowel movements, which are key indicators of surgical outcomes.
Your instructions will be specific to the procedure performed along with any unique considerations regarding your condition.
You will receive instructions on how to care for your incision before you are discharged from the hospital.
In most cases, your dressing must be changed daily until the area heals.
You may have to change the diet you had before surgery to avoid diarrhea or other bowel irritation.
The purpose of this surgery is to restore bowel function so you might relieve yourself naturally.
Not every ileostomy can be reversed.
This often requires waiting up to 12 months after the first surgery so your body can heal.
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